JINU JAMES
Abu Dhabi,UAE
Summary
Aspiring Healthcare Quality Coordinator with a strong foundation in clinical governance, hospital accreditation standards (JCI, DOH) and performance improvement initiatives. Seeking to advance into a senior role to lead strategic quality improvement programs, drive compliance, and support excellence in patient safety and healthcare delivery.
Overview
9
9
years of professional experience
5
5
years of post-secondary education
1
1
Certification
Work history
Quality Coordinator
Ahalia Medical Group
Abu Dhabi
02.2025 - Current
- Hands-on experience implementing JCI 8th Edition standards
- Led audit readiness, policy alignment, and staff education.
- Ensured hospital-wide compliance with Department of Health (DOH) regulations.
- Conducted internal audits for compliance with established quality standards.
- Developing and implementing Quality improvement programs aligned with DOH regulations and standards in coordination with Quality Manager
- Conduct regular audits to identify areas for improvement
- Coordinating with Departmental heads on Quality Improvement Initiatives
- Incident and near miss investigation through root cause analysis in Quality Management Solutions
Quality executive
Ahalia Medical Group
Abu Dhabi
04.2023 - 01.2025
- Led and coordinated hospital-wide quality improvement initiatives in alignment with JCI, DOH, JAWDA, and ISO standards to enhance patient safety and clinical effectiveness.
- Conducted and participated in diverse internal and external audits, including JAWDA, ADHICS, Tiered Maternity Framework Assessments, Maternal & Neonatal Screening Documentation Audits, Add Specialty, and Change of Plan audits.
- Prepared documentation, conducted gap analyses, and facilitated internal assessments to ensure ongoing readiness for JCI accreditation and DOH inspections.
- Oversaw incident reporting and management using Quality Management Systems (QMS), performing root cause analyses and implementing corrective actions.
- Monitored and analyzed Key Performance Indicators (KPIs), including IPSG, clinical and non-clinical indicators, to identify trends and drive performance improvement.
- Experienced in implementation and compliance with ISO standards including ISO 9001:2015 (Quality Management), ISO 14001:2015 (Environmental Management), and ISO 45001:2018 (Occupational Health & Safety); participated in certification audits.
- Led hospital-wide Quality Improvement Projects using methodologies like FOCUS-PDCA and FMEA, achieving measurable improvements in patient care and operational efficiency.
- Delivered training sessions and orientations for clinical and non-clinical staff on quality policies, audit tools, incident management, and regulatory compliance.
- Collaborated with multidisciplinary teams and department heads to promote a culture of continuous quality improvement and patient safety.
- Supported the development, review, and implementation of hospital policies, SOPs, and clinical guidelines to ensure alignment with national and international standards.
Administrative Assistant
AL- Ahalia Hospital
Abudhabi
05.2019 - 03.2023
- Performed Patient Scheduling
- Medical Records Management
- Front Desk Operations
- Insurance Verification & Billing Support
- Telephone & Email Correspondence
- Appointment & Calendar Management
- Preparing Reports & Documentation
- Patient Service & Patient Relations
- Compliance with Healthcare Regulations
Guest Relation Executive
AL- Ahalia Hospital
Abudhabi
05.2018 - 01.2019
- Greet patients
- Register patients according to Established protocols
- Assist patients to complete all necessary forms and documentation including medical insurance
- Ensure patient information in accurate including billing information
- Inform patients of medical office procedures & policy
- Maintain and manage patient records
- Move patient through appointments as scheduled
- Answering incoming calls and deal with enquiries
- Collect co-pays and payments
- Report statistics as required
- Respond and comply to requests for information
- Safeguard patient privacy and confidentiality
Operations Executive
Rajagiri Hospital JCI
Ernamkulam
08.2016 - 11.2017
- Involvement in overall management, Planning and Control
- Standard intervene in situation involving patients, visitors, Hospital staffs and other external customers
- Maintain interface with departmental personnel to ensure there is adequate space and facilities for patient care and coordination
- Determine necessary space, equipment, supplies and support system to ensure effective functioning of Department
- Facilitate interdepartmental communication negotiation and decision making
- Investigate patient/visitor concerns & Implement appropriate course of action
- Standard collaborate with clinical and support staff to foster delivery of quality care
- Ensure all documentation are as per hospital quality standards
- Provide monthly reports to management on current area operational activities
Education
Master of Hospital Administration - Healthcare Quality Management and Operations
Calicut University
India 07.2014 - 06.2016
Bsc. - Zoology
Calicut University
India 06.2011 - 06.2014
Skills
- Healthcare Quality Improvement
- Regulatory Compliance
- Patient Safety & Risk Management
- Policy & Procedure Development
- Incident Reporting & Investigation
- Accreditation Preparation & Support
- Data Analysis & Reporting
Languages
English
Proficient (C2)
Malayalam
Native
Hindi
Fluent
Tamil
Intermediate
Arabic
Beginner
Custom
I do hereby declare that the above given details are true to the best of my knowledge and belief.
Personal Information
- Passport Number: P2814482
- Date of birth: 10/15/93
- Visa status: Employment Visa
Certification
Certified Professional in Healthcare Quality (CPHQ) Result awaiting
Timeline
Quality Coordinator
Ahalia Medical Group
02.2025 - Current
Quality executive
Ahalia Medical Group
04.2023 - 01.2025
Administrative Assistant
AL- Ahalia Hospital
05.2019 - 03.2023
Guest Relation Executive
AL- Ahalia Hospital
05.2018 - 01.2019
Operations Executive
Rajagiri Hospital JCI
08.2016 - 11.2017
Master of Hospital Administration - Healthcare Quality Management and Operations
Calicut University
07.2014 - 06.2016
Bsc. - Zoology
Calicut University
06.2011 - 06.2014
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